Gender: Optional

Joseph Romero, a 6 year-old Arizona boy, was diagnosed as transgender last October and is beginning his/her transition to becoming a female. When he/she reaches the age of 12, he will be given female hormones containing estrogen and plans to undergo surgery when she is an adult in order to become a full woman.

In the UK last September, a 12 year-old boy turned up at school as a girl. Over the summer holidays his parents changed his name to a female one and allowed him to don female garb and wear his hair in pigtails. The youngster is now preparing to undergo hormone treatment and surgery – and could become the world’s youngest sex-swap patient in the coming years. His school has graciously provided him/her a separate toilet and changing room.